Organization
COVINGTON COUNTY HOSPITAL
Active
Other names
Family Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAS PIERCE (PFS DIRECTOR)
(601) 423-0004
Entity
Organization
Contact information
Practice address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 765-3180
(601) 765-2808
Mailing address
P.O. BOX 2499, COLLINS, MS 39428-2499
(601) 765-3180
(601) 765-2808
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015963
—
MS
Enumeration date
05/22/2008
Last updated
09/08/2009
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